Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.86 / $182.86 / $707.67	Facility		$182.86	$182.86	$707.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $182.86 / $182.86	Professional		$94.97	$182.86	$182.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.47 / $201.47 / $201.47	Professional		$201.47	$201.47	$201.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $40.00 / $40.00	Professional		$38.54	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $179.84 / $179.84	Professional		$6.56	$179.84	$179.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $50.00 / $122.50	Professional		$28.00	$50.00	$122.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $182.86 / $182.86 / $707.67	Facility		$182.86	$182.86	$707.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $182.86 / $183.77	Professional		$94.97	$182.86	$183.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $103.20 / $103.20	Professional		$103.20	$103.20	$103.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $179.84 / $179.84	Professional		$6.56	$179.84	$179.84
United Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $111.40 / $111.40	Professional		$111.40	$111.40	$111.40